Download A4Medicine Mobile App
Empower Your RCGP AKT Journey: Master the MCQs with Us!
This table not only details the complications of varicoceles but also highlights the potential therapeutic outcomes of varicocelectomy, emphasizing its role in improving fertility and hormone levels.
| Complication | Description | Associated Factors/Details |
|---|---|---|
| Pain | Varicoceles might not typically cause pain but can lead to sensations described as aching, dull, or throbbing | Possible reasons include increased testicular temperatures, higher venous pressure, hormonal imbalances, toxic metabolite reflux, or nerve fiber stretching in the dilated varicocele complex |
| Testicular Failure & Atrophy | Large varicoceles can lead to testicular failure and reduced hormonal production, oligospermia, and testicular atrophy | Associated with decreased sperm DNA integrity, affecting sperm motility, viability, counts, and morphology |
| Decreased Testosterone Production | Varicoceles can reduce testosterone production in the testes | Varicocelectomy improves serum testosterone levels in >80% of patients, especially beneficial for hypogonadal men |
| Orchialgia | Testicular pain associated with varicoceles | Described as aching, dull, or throbbing. Rarely acute, sharp, or stabbing |
| Sperm Quality Deterioration | Varicoceles affect sperm quality leading to impaired fertility | Linked to reduced sperm DNA integrity, thereby affecting its motility, viability, and morphology |
| Low Testosterone Treatment | Varicocelectomy can serve as a treatment for low testosterone levels | Especially recommended for hypogonadal men with significant varicoceles |
| Improved Fertility Post-Varicocele Repair | Men with varicoceles show higher... |
Try our Free Plan to get the full article.
